Weil-McLain ULTRA ULTRA-105 Service Manual page 60

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GAS FIRED WATER BOILER SERIES
Installation information
Boiler model
Boiler CP number
Boiler location
Boiler location (continued)
Altitude of location
System type (brief description)
Is an AM-4 installed?
Installer/technician
Installer/technician company name
Company address
Company address (continued)
Installation or service date
Installation or service date
Installation or service date
Parameter
Original
number
value
changed
1 & 2
Date of
New value
change
—
Reasons for changing parameter